Fitz-Hugh-Curtis's syndrome (FHCS) is defined as an inflammation of the liver capsule associated with pelvic inflammatory disease (PID). Here, we report a case of FHCS of a 37-year-old woman, presented with a history of the right upper quadrant (RUQ) abdominal pain. Physical examination revealed RUQ abdominal tenderness and vaginal secretions, pelvic pain that was denied by the patient. The diagnosis has been raised and a computed tomography (CT) scan was realized showing inflammatory changes in both pelvic and perihepatic regions.

Introduction: Lemmel syndrome corresponds to cholestatic disease secondary to compression of the main bile duct by a periampullary duodenal diverticulum. Case Report: We report a new case of Lemmel syndrome, caused by a periampullary duodenal diverticulum compressing the bile ducts leading to cholestasis. Computed tomography and MRI allows diagnosis, eliminate pancreatic origin, and avoid heavy surgery. Conclusion: The duodenal diverticulum is a rare entity, remains asymptomatic for a long time, often discovered by the stage of complications, CT and MRI make it possible to make the diagnosis and to propose an adequate treatment.